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What is Verve Collaborative Health?Verve Collaborative Health (“Verve”) is an independent, third-party entity. Verve does not dictate nor interfere in care provided by your independent provider's practice. Your independent provider is responsible for submitting their own bills and managing their own schedule and patients. If you are unhappy with your care, you may request to be referred to a different provider. Unlike other organizations, providers have contracted Verve to handle certain day-to-day services, including reception, office space, IT Support, scheduling, billing support, etc. Your payments and insurance payments directly affect your provider. Failure to pay or show up for an appointment directly affects their ability to practice and their income. Not all providers enroll in all of Verve's services.
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Consumer Guide to Healthcare Prices by AMAAcknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 For Consumers with Health Insurance Coverage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 What to Know About Emergency Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 In-Network and Out-of-Network Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 For Medicare Beneficiaries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 For Consumers Who Don’t Have Health Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 About Healthcare Quality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 Improving Price Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 For More Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 C
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Avoiding Surprises in Your Medical Bills by HFMA
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What is the New Patient Intake Process?First initial Contact What insurance do you have and check if insurance carrier is In-Network. *This does not check against your plan* Confirm age and reason for appointment. We offer a list of names who they can see based off insurance and demographics, these can also be found in our directory. You choose your provider, Verve is neutral! All providers are great choices. Please don't ask us for personal recommendations. We gather the required information into our EHR. We digitally send the paperwork and ask you to call back as soon as paperwork is completed. (Self-Scheduling coming soon) Insurance Card on File is Required. Credit Card On File is Required unless your insurance is NE Medicaid. When paperwork is finished/patient calls back: We verify if paperwork is fully completed. We then double check that insurance information is correct. If the patient isn’t the insurance policy holder we get the policy holders DOB entered if not provided We then schedule with the appropriate provider. If you are a Medicaid patient seeing a PLMHP or LMHP therapist a MSE appointment must be scheduled BEFORE the first appointment! Patients will be asked to update insurance cards and form of payment for every appointment. Check-in link is 72 hours before the first appointment, another at 24 hours. Check-in is required for all appointments. For fastest care, please use the link sent to your phone. Telehealth patients must fully check in before receiving the zoom link for their appointment. Copays and cash pay are due that day before the appointment.
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What insurance companies are In-Network?*Not all providers take all insurances. Not all providers are in all plans. Please check with your insurance to verify benefits and in-network status.
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Nebraska Medicaid and Card ExamplesNebraska Medicaid provides an ID card to verify eligibility. This card CANNOT be used for services. You will need to sign up with an insurance company to actually receive benefits and coverage. There are currently 3 Insurance companies that provide the actual benefits and coverage. These are Molina Healthcare, Nebraska Total Care, and UHC Community Plan. Compare NE Medicaid Health Plans: https://www.neheritagehealth.com/healthplan/search Nebraska Molina Healthcare https://www.molinahealthcare.com/members/ut/en-us/mem/medicaid/overvw/overvw.aspx Nebraska Total Care https://www.nebraskatotalcare.com/members/medicaid/how-to-enroll.html UHC Community Plan - https://www.uhccommunityplan.com/ne/medicaid/heritage-health
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I’ve never had to do this before at any other doctor’s office.More and more doctor’s offices are starting to use credit card contracts. This automated billing cuts down on time spent by our team and our patients doing billing tasks. It is not uncommon in many medical practices, pharmacies and labs to require a credit Card on File. Other businesses, like hotels, car rental agencies, Amazon and Netflix also request a Card on File.
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Why do I have to leave my card on file?The simple answer is because lots of people ignore their bills. Most people are responsible and pay their bills, but most people are also very busy and sometimes forget to pay their small balances. Or, even worse, think their provider doesn't need it. Behavioral Health is very well covered, and most people only have a small copay. This small copay is often ignored. When your provider sees 40-60 patients per week, far less than your primary care, the balances owed add up very quickly. Think about it, if your provider sees 60 patients per week and half of them don't pay their $10 copay, that provider loses that income. When you go to Wal Mart and buy groceries, do you decide to short the cashier and walk out the door? When you work a full day, is it alright for your boss to short you $10? Not only that, but you take the risk of going to collections over $10 and having it hit a credit report or be discharged from care. There is a huge shortage in mental health providers and our providers fill up quick. It doesn't take a provider very long before they are full and are unable to see additional patients. Putting a card on file allows you to avoid collections and forgetting about your obligations to your provider. Remember, this money goes straight to them, they are paying Verve for services regardless.
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I don’t have a credit card and/or I always pay cash.You are welcome to leave a HSA (Health Savings Account), FSA (Flexible Spending Account), debit card or Flex Plan Card on File. Our practice wants to switch away from less efficient forms of payment, so we have more time to focus on giving you quality care.
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I don’t like to give out my email.Your email will ONLY be used to send you notifications and receipts concerning your Card on File. We will not give it to anyone else, and we will not use it to contact you in any other way. (Note: if you already have an email on file, and happen to use that email for your Card on File, you will continue to receive standard communication emails).
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I don’t have email.Our team is most successful when we can communicate with you through electronic means. In order to register for our patient portal and take advantage of it's features or email our staff, an email is needed. There are many easy to use platforms that can be used to create an email account on your mobile device in minutes such as Gmail and Yahoo.
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What will my card be used for?Your Card on File will be used to cover any charges your insurance company did not cover. This includes copays, deductibles and co- insurance. If you have a one year Card on File, you can pay your copay at appointments with your Card on File, without swiping your card every time.
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What if I disagree with a charge?We’ll send you an email five days before the charge is due to take place. If you feel that the charge is incorrect, we can hold it while you sort the situation out with your insurance company. The amount you owe is determined by your insurance company, not by our practice.
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What about identity theft and privacy?You card will be stored by Elavon, Inc., a secure credit card processor affiliated with U.S. Bank that partners our practice to collect payments. (Note: we also discuss security on the agreement that patient’s sign).
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I’m concerned that staff will have access to my card number.Once the contract is established, office personnel will not have access to your card. Only the last 4 digits of your card will be viewable in our system.
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What is covered by insurance?Our providers will try to be familiar with your insurance coverage so he or she can provide you with covered care. However, there are so many different insurance plans that it’s not possible for your provider to know the specific details of each plan. By understanding your insurance coverage, you can help your provider recommend medical care that is covered in your plan. Take the time to read your insurance policy. It’s better to know what your insurance company will pay for before you receive a service, get tested, or fill a prescription. Some kinds of care may have to be approved by your insurance company before your doctor can provide them. If you still have questions about your coverage, call your insurance company and ask a representative to explain it. Remember that your insurance company, not your doctor, makes decisions about what will be paid for and what will not.
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What's an example of the billing process?On Jan. 13, 2018, Mary Jones took her daughter Ann to see James Ellis, APRN. In addition to the office visit, Ellis’s practice provided Ann with an Esketamine Treatment. The sample EOB shows how the Jones’ insurance company, Healthway, handled the claim submitted by Ellis. Mrs. Jones has obtained her insurance through her employer, Bayview Industries, so she is the Member, and her employer is the Plan Sponsor. Ann is the Patient, since it is she, not Mrs. Jones, who received the services from Ellis. The Plan, O2BNAPPO, indicates Mrs. Jones is in the Preferred Provider plan. This is Claim 01. Ellis is listed as the Provider, and Jan. 13 is listed as the date of service, since this is the date that he saw Ann. Ellis charged the insurance company $800 for the office visit, $350 for administering the Treatment, $250 for mandatory monitoring, and $200 for counseling. The Negotiated Savings shows that Ellis has agreed to accept $250 for the treatment (the $350 charge minus $100 negotiated savings) and $200 for the monitoring (the $250 charge minus $50 negotiated savings). The insurance company does not cover the counseling, so those related charges ($200) are listed under Charges Not Covered with a Remark Code to this effect. Both the treatment and monitoring are covered, so the amount listed under Charges Not Covered is $0 for both of those. Mrs. Jones’s plan requires a $15 co-payment for all office visits, so the EOB shows that she owes $15 for the office visit. The Total Payable column shows that the insurance company owes Ellis $450: $235 for the office visit ($250 – $15) and $200 for the monitoring. A check in this amount was issued to Ellis on Feb. 20. Mrs. Jones owes $215 (the $15 co-pay for the office visit, plus $200 for the noncovered counseling). The statement from Ellis’s office to Mrs. Jones dated Jan. 31 shows the same dates of service, a slightly different description of services, and corresponding charges of $800. It shows that Mrs. Jones paid the co-payment ($15) at the time of service. It shows that the account balance is $785, but the insurance company discounts, and payment haven’t been posted yet, so there is no amount due from Mrs. Jones at this time. Mrs. Jones will receive another statement from Ellis’s office after the insurance company makes a payment. This second statement will show the $450 payment received from Healthway on Feb. 25, and it will show the Negotiated Savings of $350 (from the EOB) in the Adjustment column. It also will show the balance of $200 ($215-$15 copay), which will then be due from Mrs. Jones.
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Copayment? Deductible? Coinsurance?Your insurance company may ask you to pay for some of the care you receive. This is often called cost sharing because you share or pay some of the costs, and your insurance company pays the rest. There are different types of costs that you could pay. These include: Copayment: Sometimes this is called a “copay.” This is usually a set amount you pay for a visit, test, or medication. Copays are usually lower for family doctors than specialists. Some plans will categorize Behavioral Health providers as specialists. Deductible: This is the amount of money you need to pay each year before the insurance company will cover all the remaining costs. It is often referred to as “meeting your deductible.” If you are healthy and don’t use healthcare often, having a high deductible and low monthly cost for insurance may make sense. However, if you become sick, then your costs may be higher. Coinsurance: After you have met your deductible for the year, some insurance companies still require coinsurance. This is the percent of the cost that you will still pay for some services. All of this can be confusing. It is important to know what your coverage plan offers before you sign. Call your insurance company if you don’t understand.
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Health Insurance: Understanding What It CoversYour health insurance policy is an agreement between you and your insurance company. The policy lists a package of medical benefits such as tests, drugs, and treatment services. The insurance company agrees to cover the cost of certain benefits listed in your policy. These are called “covered services.” Your policy also lists the kinds of services that are not covered by your insurance company. You have to pay for any uncovered medical care that you receive.
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How do I know which services are covered?If you already have an insurance plan and want to keep it, review your benefits to see which services are covered. Your plan may not cover the same services that another plan covers. You should also compare your plan with those offered through the Health Insurance Marketplace. The Health Insurance Marketplace is a service that helps you shop for and compare health insurance plans. It is operated by the federal government.
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What happens if my provider recommends care that isn’t covered by my insurance?Most of the things your provider recommends will be covered by your plan, but some may not. When you have a test or treatment that isn’t covered, or you get a prescription filled for a drug that isn’t covered, your insurance company won’t pay the bill. This is often called “denying the claim.” You can still obtain the treatment your provider recommended, but you will have to pay for it yourself. If your insurance company denies your claim, you have the right to appeal (challenge) the decision. Before you decide to appeal, know your insurance company’s appeal process. This should be discussed in your plan handbook. Also, ask the billing team for their opinion. If they think it’s right to make an appeal, they may be able to help you through the process.
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What Is an Explanation of Benefits (EOB)?An EOB is a document sent to insured individuals after a claim has been submitted by a healthcare provider. It explains what medical treatments and services the patient’s health insurance company agreed to pay for and what treatments/services (if any) the patient is responsible for paying. EOB stands for explanation of benefits. It is not the same as a medical bill, although it may look similar and show a balance due. When the EOB indicates that money is still owed to thehealthcare provider who provided care, patients can expect a separate bill to be sent from the office. In this instance, payment should be made directly to office, not to the insurance company who sent the EOB. The purpose of EOBs is to keep consumers informed of their healthcare costs and expenditures. It also offers insured customers a chance to double-check that services are billed correctly. ***If you have questions about the amount paid or not paid by your insurance company, please call your insurance company’s customer service number located on the back of your insurance card or on the Explanation of Benefits letter.*** Member Information: This shows the health insurance member’s full name and ID number. Patient Account Number: This is the unique identification number used by your healthcare provider to track your account. Provider Name: The name of the hospital, physicians’ office, or healthcare professional you visited during your appointment. Claim Number: This unique identification number is used by your insurance provider to track your account. Date of service: The date you received the medical services, procedures, or supplies. Service Code: This identifies the specific services, procedures, or supplies you received from a healthcare provider. Total Amount: This dollar amount shows the full cost of the procedures, services, or supplies. Not Covered: This is the amount your health insurance does not cover. You are responsible for this amount. Reason Code Description: This code provides the reason(s) why your insurer did not cover a charge. Covered by Plan: This is the total amount your health insurance provider has saved you. Deductibles and Copayments: Adjustments added based on the deductible and copay features of your insurance plan. Total Net Payment: This includes the full dollar amount your insurance company has paid to your healthcare provider. Total Patient Responsibility: This is the total amount you owe your healthcare provider. Checks Issued: This section gives you a detailed record of the payment transactions from your insurer to your healthcare provider. These lists generally contain the payee’s name, check number, and check amount. Source: https://www.medicalbillingandcoding.org/health-insurance-guide/understanding-medical-bills/
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How we apply paymentsWhen you make a payment, the money will go to pay your oldest outstanding bill unless you have given us a specific account number and date for a different bill. When paying your bill, the best way to pay a specific bill is to write the information on your check, or in the “amount paid” box on the payment form. If you accidentally overpaid, or were overcharged, we will refund you the difference if there are no additional outstanding charges. Please call us at 402.898.1113 if you notice a mistake or have concerns.
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How much will I owe after insurance pays?Your insurance company will send you an explanation of benefits (EOB) summarizing the payments they’ve already made to Verve Collaborative Health, and the remaining balance you’re responsible for. If you have questions about the amount paid or not paid by your insurance company, call your insurance company’s customer service number located on the back of your insurance card or within the explanation of benefits letter. To get an estimate prior to treatment, call 402.898.1113 or email billing@vervech.com between 8 a.m. and 4:30 p.m. Monday through Thursday to speak with someone in our billing department.
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Why do you ask for my insurance information every time I visit?Requesting your insurance information each time you visit is the best way to ensure accurate billing. Once this information is entered into our system, the billing is automatically sent electronically to your insurance company. We must send accurate and updated information each and every time to avoid rejections or long delays in payment.
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Why is my family member, or a family member’s account number, listed on my bill?We bill to the documented responsible party. If two patients have the same responsible party, both patients will be listed on a single monthly statement. This prevents the responsible party from receiving multiple monthly statements and is more cost efficient.
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Why do I have more than one account number?A separate account number is generated for each provider seen. This helps us bill for specific charges and diagnosis related to each service date and enables your insurance company to efficiently apply your benefits.
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What is the NE Blueprint Health Regional Network?What is the NE Blueprint Health Regional Network? The NE Blueprint Health Regional Network is a regional two-tier network. The first tier in the network includes Nebraska-based select In-Network providers (largely CHI providers) located in the Omaha and Lincoln areas, including surrounding communities in ZIP codes 680, 681, 683, 684, and 685, as well as in Adams, Buffalo, Hall, Kearney, and Phelps counties. All other Nebraska providers are Out-of-Network. By choosing the NE Blueprint Health Regional Network, you will have a more limited selection of In-Network doctors and providers WITHIN the state of Nebraska. If you chose the NE Blueprint Health Regional Network and do not utilize an In-Network provider while seeking treatment WITHIN the state of Nebraska, you will have utilized an Out-of-Network provider. However, if you are traveling OUTSIDE the state of Nebraska or are referred to care out-of-state, any care you receive at an out-of-state In-Network provider will be covered under the second tier NEtwork BLUE (BlueCard) broad national network at In-Network Cost Shares. The NEtwork BLUE (BlueCard) network is the same out-of-state coverage you have today. Source: https://seemybenefitsonline.com/client_sites/crete/summaries/Medical-NE.BlueprintHealthNetworkFAQ.2022.pdf
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What is a BCBS BluePrint Out-of-Network Provider?An Out-of-Network provider may not file claims with BCBSNE for you, which means you must have to first pay out-of-pocket and then submit a paper claim to BCBSNE for reimbursement. BCBSNE will not pay an Out-of-Network provider directly; rather, BCBSNE will send you a check, and you are responsible for paying the Out-of-Network provider.
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What are some In-Network providers in the NE Blueprint Health Regional Network?Some of the key hospitals and health care providers include: CHI Health System Alegent Creighton Health Services Nebraska Spine Hospital, LLC Boystown National Research Hospital Children’s Hospital and Medical Center St. Elizabeth’s Hospital Lincoln Surgical
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What are some providers NOT In-Network under the NE Blueprint Health Regional Network?Some key hospitals and health care providers NOT in the NE Blueprint Health Regional Network include: Bryan Hospital Beatrice Community Hospital Nebraska Medicine Madonna Rehabilitation Hospital Nebraska Methodist Hospital System Verve Collaborative Health
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How do I determine if my doctor or provider is In-Network under the NE Blueprint Health Regional Network?You may also choose to look up your provider at mybenefitshome.com. To conduct a provider search prior to receiving your membership card, go to mybenefitshome.com and click on the "Find a Doctor or Rx" link. Then click on the "Find a Doctor, Hospital or Other Medical Provider" link. In the "Pick a plan" box, simply enter “C3M” in the first box under the wording "Enter the first three letters of your member ID". It is not necessary to provide your member ID or a plan name. Who can I contact with questions? Member Services at: 866.370.2583
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How do I know my credit card information is safe?From the time that the card is swiped, your card information is handled and stored securely and electronically by athenahealth and our partner Elavon, a subsidiary of US Bank. Elavon is one of the world’s leading credit card processors and abides by the strictest security standards. Athena has also passed an industry security audit so our workflows are compliant with best practices. Office personnel will not have access to your card. Only the last 4 digits of your card will be visible in our system.
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How much will I be charged?You determine with us at the time you create the payment plan arrangement the monthly amount to be charged. Also, once the series of payment plan transactions are complete, the arrangement expires and your credit card information is no longer valid. You can’t be charged again without your authorization.
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How will I know when my card is being charged?You will define at the time you create the payment plan arrangement the specific day of the month when your credit card will be charged. For months when this day falls on a weekend, the transaction will occur on the next business day. You will also receive and emailed receipt for each monthly transaction.
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What happens if I decide to cancel the Payment Plan?Contact us at any time and we can cancel the agreement. Any balance due will be billed via a paper statement.
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What happens if I have insufficient funds?Your card will not be charged and you will receive an email indicating that the payment was not made. The payment plan will be canceled, and the remaining balance due will be billed via a paper statement.
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How will I know when I have reached the last payment on my payment plan?When your payment plan is created, the front desk should be able to tell you how many payments will be required to pay off the plan. Also, you will receive an email separate from your receipt when the payment plan is paid in full.
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Do claims in collections qualify for patient-initiated payment plans?No, claims that have moved to collections do not qualify for patient-initiated payment plans.
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Can I pick and choose the claims associated with a particular payment plan?When you create a payment plan, there is no option to select claims outside of the current balance due. Similarly, new claims are not included in existing payment plans.
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Can I set up a payment plan to cover multiple claims?You can create one payment plan that covers multiple claims, but these claims must all originate from the same provider. There is not an option to create a single payment plan that covers multiple claims from more than one provider. However, you can have more than one payment plan at one time.
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Am I able to cancel the payment plans set up?You are unable to cancel your patient-initiated payment plans and are instructed to contact the billing department.
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Creating a payment plan from the notification.You can access the notification pay workflow through either an email or SMS message. you can see the option to Pay in installments, shown in the example below: The following example desktop workflow shows how you can set up a payment plan. This same workflow is also available on mobile. The total balance is shown at the top, with some options listed beneath. The final payment month and year are listed next to each option. The number of payment options varies based on the balance amount. If there is a large balance, you may see more than three options (three options are shown in the example below). You do not have the option to select which claims are included in the payment plan. The entire total balance due is included in the payment plan setup. If you click These options don't work for me., you will see the following message, prompting to contact us for help: After selecting an available option, the patient can click Continue. On the Billing Details page, then you select the day of the month on which payments will be charged. You can also enter an email address for receipts. This email address is pre-populated with the address on file, but you have the option to edit this field. The date drop-down menu offers options for the day of the month. If you click Can't do autopay?, you see the following message, prompting them to contact us for help: Continuing on to the Payment Method page, you can designate an existing card, or add a card to be used for future payments. You can also check the Make default card box on an existing card. If you opt to delete an existing card, you will see a pop-up asking to confirm the deletion. Before finalizing the autopay payment plan, you can review the payment plan details, as shown here: You must agree to the terms before you can click Start Payment Plan. You are then taken to a confirmation page that includes the payment plan details. A copy of the agreement is also sent to the designated email address. After a payment plan is created and authorized, you will be able to view the payment details but cannot make any changes and/or cancel the plan. You must reach out to us to change or cancel a payment plan. Clicking View agreement opens a pop-up showing the terms they previously agreed to. The option to print this agreement is at the top right of this pop-up.
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Creating a payment plan from the statementYou enter the statement-based payment workflow by accessing https://payment.athenahealth.com and providing the access code found on their billing statement. From the billing summary page, click Set Up Payment Plan: Under Plan Details, patients can select a present amount to pay per month, as shown below: If you click These options don’t work for me., you are instructed to us either by phone or through the Patient Portal: If you select an option from Plan Details, you can then select the day of the month on which you’d like to be billed. They can also provide an email address for payment receipts: If the patient clicks Can’t do autopay?, they are instructed to contact your practice either by phone or through the Patient Portal: After completing Billing Details, you can provide a card to which future autopay payments will be charged: If at any time you attempt to close this workflow, you are warned that will lose all changes: After entering a payment method, the patient can review the autopay payment plan agreement before adding a signature and clicking Start Payment Plan: You are shown a success message listing the autopay payment plan details. You can access the payment plan agreement from a follow-up email or by clicking View agreement from this page:
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Creating a payment plan from the Patient PortalFrom the Bill Pay tab, click Set Up Payment Plan: Under Plan Details, select an amount to pay per month, as shown below: If you click These options don’t work for me., you will be instructed to contact contact either by phone or through the Patient Portal: If you attempt to exit the payment plan setup while in progress, you will be shown a warning message: The remaining Patient Portal workflow is very similar to the other workflows described in this FAQ. A success message appears when the payment plan setup is complete:
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What is “balance billing” (sometimes called “surprise billing”)?When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, like a copayment, coinsurance or deductible. You may have additional costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network. “Out-of-network” means providers and facilities haven’t signed a contract with your health plan to provide services. Out-of-network providers may be allowed to bill you for the difference between what your plan pays and the full amount charged for a service. This is called balance billing. This amount is likely more than in-network costs for the same service and might not count toward your plan’s deductible or annual out-of-pocket limit. “Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care – like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider. Surprise medical bills could cost thousands of dollars depending on the procedure or service. Source: https://www.nebraskamed.com/patients/billing/after-treatment
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When balance billing isn’t allowed, you also have these protections:You’re only responsible for paying your share of the cost (like the copayments, coinsurance and deductible that you would pay if the provider or facility was in-network). Your health plan will pay any additional costs to out-of network providers and facilities directly. Generally, your health plan must: – Cover emergency services without requiring you to get approval for services in advance (also known as “prior authorization”) – Cover emergency services by out-of-network providers – Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits – Count any amount you pay for emergency services or out-of-network services toward your in-network deductible and out-of-pocket limit
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If you think you’ve been wrongly billed:Call 1.402.898.1113. Ask to be transferred to the Patient Billing Services director who is responsible for enforcing the federal and/or state balance or surprise billing protection laws at Verve Collaborative Health. The federal phone number for information and complaints is 1.800.985.3059. You’re never required to give up your protections from balance billing. You also aren’t required to get out-of network care. You can choose a provider or facility in your plan’s network. Visit https://www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
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